Laksono Agung D, Kusumawardani Hastin D
National Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia.
Doctoral Program, Faculty of Public Health, Universitas Airlangga, Indonesia.
Indian J Community Med. 2025 Jan-Feb;50(1):162-168. doi: 10.4103/ijcm.ijcm_384_23. Epub 2025 Jan 23.
East Nusa Tenggara is a province in the east of Indonesia with a relatively high stunting proportion than other provinces. This situation is exacerbated by the poverty that characterizes the people of this region. The study analyzes children's characteristics related to stunting among children under 2 years in East Nusa Tenggara, Indonesia.
The cross-sectional study examined 3,134 children under 2 years. Besides nutritional status (stature), the study analyzed five children's characteristics as exposure variables (birth weight, birth length, early initiation of breastfeeding, gender, and age) and six control variables (residence, maternal age, marital, maternal education, employment, wealth). We employed a binary logistic regression test in the last step.
Low-birth-weight children are 1.970 times more likely than normal children to experience stunting [95% confidence interval (CI) 1.905-2.037]. Children with short birth lengths are 1.373 times more likely than those with standard measurements to be stunted (95% CI 1.331-1.417). On the other hand, children without early initiation of breastfeeding are 1.034 times more likely than those with early initiation of breastfeeding (95% CI 1.013-1.057). Meanwhile, a boy is 1.426 times more likely to be stunted than a girl to experience stunting (95% CI 1.397-1.456). Moreover, based on children's age, 12-23 are 3.435 times more likely than those ≤12 to be stunted (95% CI 3.360-2.513).
The study concluded that five children's characteristics were related to the stunting incidence in East Nusa Tenggara, Indonesia: birth weight, birth length, early breastfeeding initiation, gender, and age.
东努沙登加拉省是印度尼西亚东部的一个省份，其发育迟缓比例相对高于其他省份。该地区居民普遍贫困，这一情况使问题更加严重。本研究分析了印度尼西亚东努沙登加拉省2岁以下儿童发育迟缓的相关特征。
这项横断面研究调查了3134名2岁以下儿童。除营养状况（身高）外，该研究分析了五个儿童特征作为暴露变量（出生体重、出生身长、早期开始母乳喂养、性别和年龄）以及六个对照变量（居住地、母亲年龄、婚姻状况、母亲教育程度、就业情况、财富状况）。最后一步采用二元逻辑回归检验。
低出生体重儿童发育迟缓的可能性是正常儿童的1.970倍[95%置信区间（CI）1.905 - 2.037]。出生身长较短的儿童发育迟缓的可能性是标准测量儿童的1.373倍（95%CI 1.331 - 1.417）。另一方面，未早期开始母乳喂养的儿童发育迟缓的可能性是早期开始母乳喂养儿童的1.034倍（95%CI 1.013 - 1.057）。同时，男孩发育迟缓的可能性是女孩的1.426倍（95%CI 1.397 - 1.456）。此外，根据儿童年龄，12 - 23个月大的儿童发育迟缓的可能性是12个月及以下儿童的3.435倍（95%CI 3.360 - 2.513）。
该研究得出结论，印度尼西亚东努沙登加拉省的五个儿童特征与发育迟缓发生率相关：出生体重、出生身长、早期母乳喂养开始情况、性别和年龄。
